GREGORY ANDERSON – Physical Therapist, NPI 1184090458

GREGORY ANDERSON is a healthcare provider. based in Willimantic, Connecticut. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 11176 (CT). The NPI Number for GREGORY ANDERSON is 1184090458

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY ANDERSON
NPI
1184090458
Phone
(860) 456-2232
Address
1589 MAIN ST UNIT 70
Enumeration Date
20 August 2015
Last Update Date
30 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8604562232
Graduation Year
2015 (11 years ago)
PAC ID
9234439902
Group Practice PAC ID
8527968445
Professional Enrollment ID
I20170103000038
Address ID
CT062262061WI162XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:10State licenses:2Digital endpointsOther names

1,335 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CT

Provider Addresses for GREGORY ANDERSON

  • 1589 MAIN ST UNIT 70

    WILLIMANTIC, CT 062261163

    Phone: (860) 456-2232

    Fax: (860) 456-2256

    Type: Mailing

  • 1589 MAIN ST

    WILLIMANTIC, CT 062261163

    Phone: (860) 456-2232

    Fax: (860) 456-2256

    Type: Location

  • 117 MAIN ST

    HEBRON, CT 062481519

    Phone: (860) 264-1940

    Fax: (605) 301-8508

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-01-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151202000843IPhysical Therapist In Private PracticeNYTBD
I20170103000038IPhysical Therapist In Private PracticeCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes94673$0
97140Therapy procedure using manual technique, each 15 minutes91175$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes63661$0
97530Therapy procedure using functional activities54257$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care12213$0
View full utilization report →

Insurance plans in this area (ZIP 06226)

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Provider's Procedures

GREGORY ANDERSON performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYCT97001Physical therapy evaluation5553

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527968445View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
-CT
-CT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT

Reviews

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Frequently asked questions

What number should I use to identify GREGORY ANDERSON for billing?
Administrative and clinical systems typically use NPI 1184090458 for GREGORY ANDERSON.
Does the public listing show GREGORY ANDERSON as active?
GREGORY ANDERSON's NPI record reflects an active status in NPPES.
What type of care does GREGORY ANDERSON provide?
GREGORY ANDERSON's profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
Can patients visit GREGORY ANDERSON in Willimantic, Connecticut?
For routing, start with Willimantic, Connecticut for GREGORY ANDERSON, then verify phone and hours locally.
Can I export GREGORY ANDERSON's record?
You can download the official NPPES record; we summarize key fields for readability.